Work Place Violence Pam Cant IH MS, Industrial Hygienist

Workplace violence causes a significant number of deaths and injuries in Washington and throughout the country. In 2010, workplace violence was the third leading cause of workplace deaths in Washington State.

Inspection Data  Labor and Industries /DOSH conducted approximately 49 compliance inspections  Resulting in approximately $130,000 in penalties

Assaults in NAICS 62 Between 1/1/09 - 9/30/2014 # of Claims Paid-to-Date TotalAverage Cost Per Claim Assaults And Violent Acts By Person(s), N.E.C.1988$19,644,878$9, Biting731$871,753$1, Assaults And Violent Acts By Person(s), Unspecified517$5,699,969$11, Shooting7$123,481$17, Stabbing6$13,273$2, Threats Or Verbal Assaults2$27,928$13, Rape2$32,698$16, Assaults And Violent Acts, Unspecified1$345$ Total3255$26,414,325$8, # of Claims% of Claims Female229571% Male96029% Total3255

Potential Risk Factors  Working in isolation and after regular work hours  Lack of controlled access to worksite  Customers with past violent behavior  Potential weapons (such as scissors) easily visible and accessible  Lack of alternate escape route and quick communication to security personnel

Statute, Regulations, and Directives  Violence Prevention in State Psychiatric Hospitals RCW  Workplace Violence Prevention Law: Health Care Settings Chapter RCW.

Statute, Regulations, and Directives  WAC , Accident Prevention  Workplace Violence Prevention in Health Care: WRD 5.07

Chapter RCW SAFETY — HEALTH CARE SETTINGS "Violence" or "violent act" means any physical assault or verbal threat of physical assault against an employee of a health care setting.

Workplace Violence Plan  Workplace Security and Safety Assessment  Violence Prevention Training  Violence Act Records

Security and Safety Assessment  The physical attributes of the health care setting  Staffing, including security staffing  Personnel policies  First aid and emergency procedures  The reporting of violent acts  Employee education and training.

Violence Prevention Training  General/personal safety procedures, and workplace violence prevention plan  De-escalate and minimize violent behavior  Obtaining patient history from a patient with violent behavior

 Restraining techniques (chemical and physical)  Documenting and reporting incidents  Debriefing process, and resources available to employees for coping with violence Violence Prevention Training

Violent acts — Records.  The health care setting's name and address  The date, time, and specific location at the health care setting where the act occurred  The name, job title, department or ward assignment, and staff identification or social security number of the victim, if an employee

Records: a description of the:  person against whom the act was committed  person committing the act  type of violent act  any weapon used  any body part injured  number of employees in the vicinity of the act when it occurred  actions taken by employees and facility in response to the act

Violent acts — Records.  Keep at least five years following the reported act  Make these records available to Labor and Industries for inspection upon request.

RCW Workplace violence plan — Security and safety assessment  Failure to tailor the Accident Prevention Program (APP) to the workplace under WAC  Normally a serious violation with associated penalties

RCW Violence prevention training  WAC Accident Prevention Program (APP) Failure to tailor APP.  Usually a serious violation with associated penalties.

RCW Violent acts — Records  APP WAC and WAC failure to tailor your accident prevention program.  Recordkeeping violations are cited serious if it appears that the failure to keep records results in a failure to address serious hazards.

Resources and RCW.  Labor and Industries/DOSH Labor and Industries/DOSH  OSHA zards/workplaceviolence/viol.html#saferroom OSHA zards/workplaceviolence/viol.html#saferroom  SHARP efault.asp#Violence SHARP efault.asp#Violence

Ebola Updated  Safety and Health  Claims Information

Thank you Pam Cant, IH, MS Labor and Industries (360)